护理实践中的混合现实：一项混合方法的系统评价。

Mixed Reality in Nursing Practice: A Mixed Methods Systematic Review.

作者信息

Moser Chandler H, Kim Changhwan, Charles Bindu, Tijones Renilda, Sanchez Elsa, Davila Jedry G, Matta Hemilla R, Brenner Michael J, Pandian Vinciya

机构信息

Nurse Scientist, Center for Nursing Science and Clinical Inquiry, Madigan Army Medical Center, Joint Base Lewis-McChord, Tacoma, WA, USA.

Doctoral Student, Johns Hopkins School of Nursing, Baltimore, Maryland, USA.

出版信息

J Clin Nurs. 2025 Nov;34(11):4547-4559. doi: 10.1111/jocn.17722. Epub 2025 Apr 8.

DOI:10.1111/jocn.17722

PMID:40200558

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12489439/

Abstract

AIM(S): To review the current evidence on mixed reality (MR) applications in nursing practice, focusing on efficiency, ergonomics, satisfaction, competency, and team effectiveness.

DESIGN

Mixed methods systematic review of empirical studies evaluating MR interventions in nursing practice.

METHODS

The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered with PROSPERO. Studies were included if they assessed nursing outcomes related to MR interventions. Exclusion criteria encompassed reviews, studies focusing solely on virtual reality, and those involving only nursing students. The Cochrane ROBINS-I, RoB 2, and CASP tools assessed the risk of bias and methodological quality.

DATA SOURCES

A comprehensive search of 12 databases (MEDLINE, Embase, CINAHL, Cochrane Library, Web of Science, and others) covered literature published between January 2013 and January 2023.

RESULTS

Eight studies met inclusion criteria, exploring diverse MR implementations, including smart glasses and mobile applications, across various nursing specialisations. MR demonstrated potential benefits in efficiency, such as faster task completion and improved accuracy. Satisfaction outcomes were limited but indicated promise. Ergonomic challenges were identified, including discomfort and technical issues. Studies on competency showed mixed results, with some evidence of improved skill acquisition. Team effectiveness and health equity outcomes were underexplored.

CONCLUSION

While MR shows potential in enhancing nursing practice, evidence is heterogeneous and clinical relevance remains unclear. Further rigorous comparative studies are necessary to establish its utility and address barriers to adoption.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: MR technology may enhance nursing efficiency, competency and satisfaction. Addressing ergonomic and technical challenges could optimise adoption and benefit patient care.

REPORTING METHOD

This review adheres to PRISMA guidelines.

PATIENT OR PUBLIC CONTRIBUTION

No Patient or Public Contribution.

TRIAL AND PROTOCOL REGISTRATION

PROSPERO registration: #CRD42022324066.

摘要

目的

回顾当前关于混合现实（MR）在护理实践中应用的证据，重点关注效率、人体工程学、满意度、能力以及团队效能。

设计

对评估MR在护理实践中干预措施的实证研究进行混合方法系统评价。

方法

该系统评价遵循系统评价与Meta分析的首选报告项目（PRISMA）指南，并在国际前瞻性系统评价注册库（PROSPERO）进行了注册。如果研究评估了与MR干预相关的护理结果，则纳入研究。排除标准包括综述、仅关注虚拟现实的研究以及仅涉及护理专业学生的研究。使用Cochrane ROBINS-I、RoB 2和CASP工具评估偏倚风险和方法学质量。

数据来源

对12个数据库（MEDLINE、Embase、CINAHL、Cochrane图书馆、科学引文索引等）进行全面检索，涵盖2013年1月至2023年1月发表的文献。

结果

八项研究符合纳入标准，探讨了各种护理专业中包括智能眼镜和移动应用在内的不同MR应用。MR在效率方面显示出潜在益处，如更快地完成任务和提高准确性。满意度结果有限，但显示出前景。确定了人体工程学方面的挑战，包括不适和技术问题。关于能力的研究结果不一，有一些证据表明技能获取有所改善。团队效能和健康公平结果的研究较少。